The nurse is teaching a client strategies to manage ulcerative colitis. Which of the following would be included in the client’s teaching plan?
a. Eat three large meals a day
b. Encourage client to keep food diary and avoid foods that increase symptoms
c. Exercise regularly
d. Practice stress relieving measures
e. Enjoy caffeinated beverages in large quantities
Answer(s):
b. Encourage client to keep food diary and avoid foods that increase symptoms
c. Exercise regularly
d. Practice stress relieving measures
Explanation: The client is instructed to eliminate from the diet those foods that aggravate the symptoms and discomfort. Foods often associated with making IBS symptoms worse include wheat, rye, barley, chocolate, milk products, alcohol, coffee, and caffeinated drinks. Foods high in fiber such as bran, cereal, beans, fruits, and vegetables may reduce symptoms. Large meals cause cramping and diarrhea.Encourage the client to write down what is eaten, what symptoms are present and when they occur, and which foods always make the client feel bad. Then eliminate those foods causing symptoms or making the client feel bad. Suggest that the client eat five or six small meals instead of three large meals each day. Encourage the client to exercise regularly and practice stress-relieving measures such as progressive relaxation or guided imagery.
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